The Oklahoma City VA Health Care System is currently recruiting for two (2) Practical Nurse positions. One position is located with the Lawton VA Clinic and one position is located with the Shawnee VA Clinic. The Practical Nurses will perform assigned duties in a manner that promote quality health care, positive customer service and the maintenance of an environment committed to serving the Veteran. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency: Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Licensure: Full, active, current and unrestricted licensure as a licensed practical or vocational nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or District of Columbia. An LPN[/LVN] who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3, section B, paragraph 16. Education: Graduate of a school of practical or vocational nursing approved by the appropriate State/agency and/or accredited by the National League for Nursing Accrediting Commission NLNAC at the time the program was completed by the applicant. Verification can be obtained from the State approving agency or the National League for Nursing Accrediting Commission. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: In addition to the basic requirements, the following qualifications must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade. Practical Nurse GS-3 Qualifications - None beyond the basic requirements. LPNs at this grade level are expected to perform all duties within the scope of their license (e.g., medication administration); however, completed work may require routine or detailed higher-level review depending upon the complexity of the duties involved. Practical Nurse GS-4 Qualifications - May be appointed at or advanced to GS-4 if they meet any of the criteria below: (a) Six months of qualifying experience as an LPN or LVN; OR (b) Graduation from an approved school which may be waived as provided in paragraph 4 of Section C, and one year of experience that involved nursing care work in a hospital, outpatient clinic ,nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures; OR (c) Graduation from an approved school of at least 24 months duration. Practical Nurse GS-5 Qualifications - Completion of at least one (1) year of qualifying experience at the GS-4 level or equivalent. Demonstrate the following KSAs: Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. Works with the RN and/or MD/DO to appropriately orient/train less experienced LPNs/LVNs and/or Nursing Assistants (NAs)/Health Technicians (HTs) in relation to acceptable standards of practice in promoting optimal patient care delivery. Provides effective education to patients and/or family members in relation to common disease processes, medication, and /or prescribed treatment regimes. Demonstrated ability to serve as a responsible member of the nursing team and interact in an appropriate manner with patients, family members, professional and other supportive personnel involved in the delivery of patient care, incorporating acceptable, established customer service standards into practice. Knowledge and skill sufficient to prepare, administer, and appropriately document actions taken specific to commonly prescribed oral, topical, subcutaneous, intramuscular, and/or intravenous medications as permitted by approved local facility policies and procedures. Knowledge and ability to recognize the need for and to institute emergency measures when indicated, promptly seek the assistance of the RN or MD/DO, and assist in resuscitation procedures in cardiac and/or pulmonary arrest. Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. Completed work is under the general supervision of an RN or MD/DO. Individuals at this grade level are expected to have a broad working knowledge of practical nursing procedures. Practical Nurse GS-6 Qualifications - Completion of at least one (1) year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN. Demonstrate the following KSAs: Knowledge and ability to appropriately carry out assigned patient care based on the patients' conditions; to use judgment in selecting the appropriate order and sequence of procedures and treatments; and to accurately recognize, report and record relevant patient information. Ability to observe, identify and respond to the patient's needs for care, including medication, equipment-assisted care and patient/family education. In organizing and delivering care, the LPN/LVN recognizes and considers emotional, cultural, spiritual, socio-economic, and age-related factors. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures. Observes for physical and/or emotional changes in patient's condition from prescribed medications/treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal to RN or MD/DO. Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as directed. Knowledge and understanding of human behavior, patient motivations and reactions to situations, and ability to appropriately utilize this knowledge in working effectively with patients, family members, and other staff. Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication, and socialization skills. Effectively incorporates knowledge and understanding of established customer service standards in all interactions with patients, family members, and/or other internal/external customers. Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing, and handling specialized instruments or other specialized equipment, and monitoring the patient's condition before, during, and following the procedure. References: VA Handbook 5005/3, Part II, Appendix G13 The full performance level of this vacancy is GS-06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06. Physical Requirements: The position involves considerable standing, walking, stooping, bending, reaching, lifting, and turning. It requires restraining confused patients, repositioning patients, assisting with transferring patients to Wheelchairs/stretchers/cars, and transporting them to other departments or facilities. The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/ invasive procedures. ["The Practical Nurse works under the direct supervision of the Nurse Manager; however, the Registered Nurse or Physician provides work assignments designating general instructions regarding patients. The Practical Nurse will function at the top of his or her license, will demonstrate nursing specific skills within the scope and will perform the following duties, but are not limited to: Proficient in initiating, performing, and completing assigned duties in providing care to variable patient populations. Knowledge and ability to appropriately carry out assigned patient care based on the patients' conditions. Use judgment in selecting the appropriate order and sequence to procedures and treatments. Accurately recognize, report and record relevant patient information. Ability to observe, identify and respond to the patient's needs for medication, equipment-assisted care, and patient/family education. Organizing and delivering care, recognizes and considers emotional, cultural, spiritual, socio-economic and age-related factors. Utilizing principles of aseptic technique, universal precautions and isolation requirements. Observes for physical and/or emotional changes in patient's condition from prescribed educations and treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal. Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures. Completes and assists others in performing activities of daily living. Taking and recording vital signs in the medical record. Collecting specimens; appropriately preparing and transporting to the laboratory. Measuring and recording total intake and output of specimens. Monitoring patients receiving blood products. Completes medication reconciliation and prepares and administers prescribed medications. Adheres to information supplied by the RN or Physician and identifies patient and family needs in learning routines and procedure. Adheres to infection control guidelines and practices Work Schedule: Monday - Friday, 7:30am - 4:00pm or 8:00 - 4:30pm, hours may vary depending on the needs of the clinic. Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 54518-A, 54519-A, 54520-A, 54521-A Financial Disclosure Report: Not required"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.
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